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A Slovenian Experience in Certification and Quality Labelling of EHRs

A Slovenian Experience in Certification and Quality Labelling of EHRs. Leo Ciglene č ki EuroRec, vice-president Prorec.SI, director leo.ciglenecki@siol.net. Content. Prorec Slovenia & Q-REC project Workshop with SW industry: Assisted self validation of SW Q-criteria validation

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A Slovenian Experience in Certification and Quality Labelling of EHRs

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  1. A Slovenian Experience in Certification and Quality Labelling of EHRs Leo Ciglenečki EuroRec, vice-president Prorec.SI, director leo.ciglenecki@siol.net

  2. Content • Prorec Slovenia&Q-REC project • Workshop with SW industry: • Assisted self validation of SW • Q-criteria validation • Results • Plans Focus on SLO experience/workshop Portorož, May 5th, 2008

  3. Prorec Slovenia (Ustanova Prorec.SI) • Since 2003 • Links with all relevant stakeholders (authorities, users, industry). • Industrialforum - recent activities • A member of the Q-REC project consortia, together with partners from 12 EU countries Portorož, May 5th, 2008

  4. Project Q-REC • Project Q-REC – Quality Labeling and Certification of Electronic Health Record Systems. • Started in 2006. • Suported by EC under FP6 IST Programme • The main objective: create an efficient, credible and sustainable mechanism forthe certification of EHR systems in EUand in its member states. Portorož, May 5th, 2008

  5. Workshop (1) • A workshop for SW vendors organized in April 2008 • Aim: • Q-REC criteria validation • Assisted self-validation of the SW • Participation in the interest of both: SW vendors and Prorec.SI Portorož, May 5th, 2008

  6. Workshop (2) Portorož, May 5th, 2008

  7. Workshop (3) Participants: • Three SLO major SW companies(HI) (Infonet/SRC d.o.o., List d.o.o., Nova Vizija d.o.o.) • SWsupporting Medication management functionality (primary HC) • The workshop led by Prorec.SI representatives Portorož, May 5th, 2008

  8. Workshop (4) Pre-agreed: • "This is only a test of Q-criteria,NOT a certifying exercise – no certificate issued“ • "Possible unfavourable results will NOT be published“ • "Possible favourable results MAY be promoted, but without claiming any official Q-Rec/Eurorec/Prorec.SI seal or statement“ • “Note: the tested Q-criteria are not yet fully refined/grouped/indexed” Portorož, May 5th, 2008

  9. Workshop (5) Input: • Business function "A10 Medication management/Upravljanje z zdravili" • 226 fine-grained statements from A10.0 – A10.6 A10.0 - Selection & Item Content A10.1 - Production of a prescription, its dispensing and administration A10.2 - Decision support & medication care quality surveillance A10.3 - Display, structuring and management of medication A10.4 - Medication administration A10.5 - Medication effects A10.6 - Regulatory & administrative aspects • Some examples of the fine-grained statements: Portorož, May 5th, 2008

  10. Workshop (6) The system ENABLES TO ENTER medication items(GS001549.03) The system enables to enter that a patient takes NOMEDICATION at all(GS001584.01) The system allows FREE TEXT OR UNCODED medication items if and ONLY IF the medicinal product isn't available in the coded list of medicinal products(GS001581.01) The system CALCULATES THE TOTAL price at the point of prescriptionand presents that information(GS002464.01) Portorož, May 5th, 2008

  11. Workshop (7) Translations: • Approx half of the statements already translated in Slovenian language • Dictionary/Thesaurusemerging • A challenge for future activities in SLO health informatics overall Portorož, May 5th, 2008

  12. Workshop (8) Assisted self-validation of the SW andQ-criteria validation: • Each vendor assessed conformance of their SW against Q-REC criteria. • Possible replies: YES, NO, PARTIALY, N/A • Active dialog with other participants. • In parallel: • Comments on Q-criteria noted and • Individual terms added to Dictionary/Thesaurus Portorož, May 5th, 2008

  13. Workshop (9) Results: SW assessment • No major SW insufficiencies noticed • Most of the 'NO‘ replies due to absence of conditions, where SW producers have no hold on them(state institutions, purchasers, infrastructure, code-lists, …) • The overall result satisfying Portorož, May 5th, 2008

  14. Workshop (10) Results: SW assessment-statistics 3 x YES: 26% 3 x NO: 20% Portorož, May 5th, 2008

  15. Workshop (11) Results: Q-criteria evaluation • Many new ideas occured to the participants. Extra functionalities to be built in their SW. “Too many ideas!“ • Additional grouping/indexing needed(to avoid duplications etc..) Portorož, May 5th, 2008

  16. Workshop (12) • Some statements need explanations(e.g. does a statement refer to the application or to the code-list...) • Some terms need definitions(idealistically data/object model) • Precise quality metrics needed : • is it sufficient when SW only enables a functionality or… • does it also have to provide all required data / knowledge bases.. ... Portorož, May 5th, 2008

  17. Workshop (13) Results: Certification Organisation and Process issues • The participants suggested: • Pre-assessment to be performed as self-assessment • Main assessment to be performed by an independent, state accredited institution • SW providers willing to pay for the process • Correlation with results of the earlier promotion / questionnaire Portorož, May 5th, 2008

  18. Plan • To stay in the focusof the EU developments • Assess possibilities for EHRs Q-labeling and certification in Slovenia • Promotion with health care providers, authorities… accreditation? Portorož, May 5th, 2008

  19. Thank you! leo.ciglenecki@siol.net Portorož, May 5th, 2008

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